CLINIC PHARMACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

LICENSED PHARMACY

License Number

054005955

License Status

NOT RENEWED

Business

Business Name

CLINIC PHARMACY

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1991002527

Action

Revocation

Discipline Start Date

02/08/1996